NPIMap

Organization Active NPI

Avenal District Ambulance Service

  • Land Ambulance
  • Avenal, CA
National Provider Identifier
1558489609
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
AVENAL DISTRICT AMBULANCE SERVICE
Practice address
709 N 3Rd Ave
Avenal, CA 93204-1054
Phone
(559) 386-2211
Fax
(559) 386-2212
NPI assigned
Mar 27, 2007
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Blayne Sanders
Title
Board of Directors
Phone
(559) 386-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

709 N 3Rd Ave
Avenal, CA 93204-1054

Mailing address

PO Box 370
709 N. Third St.
Avenal, CA 93204-1054
Phone (559) 386-2211

Other identifiers 1

IdentifierTypeStateIssuer
MTE00294FMedicaidCA

Other names 1

  • Avenal District Hospital Former legal business name

National Provider Directory

National Provider Directory

Locations

709 N 3rd Ave
Avenal, CA 93204
Phone (559) 386-2211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1558489609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "address_2": "709 N. THIRD ST.",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041054",
            "telephone_number": "559-386-2211",
            "fax_number": "559-386-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N 3RD AVE",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041054",
            "telephone_number": "559-386-2211",
            "fax_number": "559-386-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENAL DISTRICT AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BLAYNE",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "559-386-2211"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00294F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenal District Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Avenal, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.